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Legal ERISA Claims Analyst | Healthcare Reimbursement & Appeals

Job in Plano, Collin County, Texas, 75086, USA
Listing for: ERISA Recovery
Full Time position
Listed on 2026-09-13
Job specializations:
  • Insurance
    Health Insurance
Salary/Wage Range or Industry Benchmark: 65000 - 90000 USD Yearly USD 65000.00 90000.00 YEAR
Job Description & How to Apply Below

Help Healthcare Providers Recover the Revenue They Deserve

At ERISA Recovery
, we help healthcare providers recover revenue from underpaid and denied hospital claims through the federal ERISA appeals process. As we continue to grow, we're looking for a Legal ERISA Claims Analyst to join our team in Plano, Texas.

This is an excellent opportunity for an analytical, detail-oriented professional who enjoys investigating complex cases, conducting legal research, analyzing healthcare claims, and solving challenging reimbursement issues.

In this role, you'll have a direct impact on helping hospitals and healthcare providers recover significant revenue while developing specialized expertise at the intersection of healthcare, insurance, reimbursement, and ERISA law.

What You'll Do
  • Analyze complex hospital claims to identify underpayments, denials, and recovery opportunities
  • Conduct legal and regulatory research related to ERISA, healthcare reimbursement, and appeals
  • Draft persuasive appeal letters and supporting legal documentation
  • Review medical records, billing data, claims information, and reimbursement policies
  • Research regulatory and legal developments and apply findings to individual claim strategies
  • Communicate with third-party administrators, insurance payors, and other stakeholders to resolve claim issues
  • Track and document claim activity, deadlines, appeals, and case outcomes
  • Use EHR, claims, and other systems to research and manage cases
  • Manage a high-volume caseload while maintaining accuracy, organization, and attention to detail
  • Collaborate with internal teams to move claims efficiently through the recovery process
What We're Looking For
  • Bachelor's degree required
  • 3+ years of experience in legal, healthcare, insurance, claims, reimbursement, or analytical work
  • Healthcare insurance claims experience strongly preferred
  • ERISA experience is a plus
  • Strong legal research, analytical, and problem-solving skills
  • Exceptional attention to detail and ability to identify discrepancies
  • Ability to manage multiple cases, deadlines, and priorities in a fast-paced environment
  • Excellent written and verbal communication skills
  • Strong proficiency with Microsoft Word, Excel, and Outlook
  • Comfortable working with detailed medical, financial, and legal documentation
  • Ability to work independently while collaborating effectively with a team
  • Why Join ERISA Recovery?
  • We offer a supportive, performance-driven environment where your work has a direct financial impact on healthcare providers.
  • 401(k) with company matching
  • Health, dental, and vision insurance
  • Paid time off
  • Paid lunches
  • Performance-based bonuses
  • Referral Bonus
  • Disability insurance
  • Life insurance
  • Flexible Spending Account (FSA)
  • Health Savings Account (HSA)
  • Free gym access

Full-time, onsite only

ERISA Recovery is an Equal Opportunity Employer

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